Justification & Interpretation Flashcards

1
Q

Bitewings and paralleling periapicals

A
  • similar techniques
  • film is parallel to long axis of tooth
  • x-ray beam at 90 degrees to film & tooth
  • long cone should be used - a near parallel beam
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2
Q

describe paralleling technique

A
  • accurate images
  • positioning devices determine the angulations
  • reproducible on different visits by different operators
  • relative positions of the film, teeth and x-ray beam are always maintained
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3
Q

selection criteria

A
  • systemically developed statements designed to assist the clinician and patient in making decisions about appropriate healthcare for certain specific circumstances
  • guidelines are not a rigid constraint on clinical practice but concepts of good practice against which needs of individual patients can be considered
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4
Q

recommended radiographs for uniform pocketing <6mm

A

horizontal bitewings

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5
Q

recommended radiographs for pockets >6mm

A

vertical bitewings supplemented with parallel periapical views if perio-endo lesion suspected

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6
Q

what radiographs would be utilised for irregular pocketing?

A
  • bitewings +/- paralleling periapicals
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7
Q

which radiographs to use for anterior teeth

A

paralleling periapicals

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8
Q

what are some radiographic challenges?

A
  • difficult to take paralleling films of mobile teeth
  • difficult to use film holders & bite blocks if opposing teeth are missing
  • full mouth periapical films have been considered the “gold standard” for periodontal disease but -
  • always consider whether the taking of a radiograph is going to change the management of the patient
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